Amended IN Assembly March 23, 2018 CALIFORNIA LEGISLATURE 20172018 REGULAR SESSION Assembly Bill No. 3087Introduced by Assembly Member KalraFebruary 16, 2018 An act to amend Section 1340 of add Section 128741 to the Health and Safety Code, relating to health care service plans. facilities.LEGISLATIVE COUNSEL'S DIGESTAB 3087, as amended, Kalra. Health care service plans. facilities: data reporting.Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services, under which qualified low-income individuals receive health care services. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions.Existing law, the Health Data and Advisory Council Consolidation Act, requires certain health facilities and freestanding ambulatory surgery clinics to file specified reports with various patient and health data information with the Office of Statewide Health Planning and Development. Existing law requires a hospital to report specified summary financial and utilization data to the office within 45 days of the end of a calendar quarter.This bill would require a health facility to report specified reimbursement information for each procedure performed, including Medicare reimbursement on a fee-for-service basis.Existing law, the Knox-Keene Health Care Service Plan Act of 1975, establishes the Department of Managed Health Care and sets forth its powers and duties relating to the licensing and regulation of health care service plans.This bill would make a nonsubstantive change in those provisions.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: NOYES Local Program: NO Bill TextThe people of the State of California do enact as follows:SECTION 1. Section 128741 is added to the Health and Safety Code, to read:128741. A health facility shall report the following information for each procedure performed:(a) Medicare reimbursement on a fee-for-service basis.(b) The average Medicare reimbursement on a Medicare managed care basis, averaged across Medicare managed care plans.(c) The average reimbursement by payers other than Medicare or Medi-Cal.SECTION 1.Section 1340 of the Health and Safety Code is amended to read:1340.This chapter shall be known, and may be cited, as the Knox-Keene Health Care Service Plan Act of 1975.
Amended IN Assembly March 23, 2018 CALIFORNIA LEGISLATURE 20172018 REGULAR SESSION Assembly Bill No. 3087Introduced by Assembly Member KalraFebruary 16, 2018 An act to amend Section 1340 of add Section 128741 to the Health and Safety Code, relating to health care service plans. facilities.LEGISLATIVE COUNSEL'S DIGESTAB 3087, as amended, Kalra. Health care service plans. facilities: data reporting.Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services, under which qualified low-income individuals receive health care services. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions.Existing law, the Health Data and Advisory Council Consolidation Act, requires certain health facilities and freestanding ambulatory surgery clinics to file specified reports with various patient and health data information with the Office of Statewide Health Planning and Development. Existing law requires a hospital to report specified summary financial and utilization data to the office within 45 days of the end of a calendar quarter.This bill would require a health facility to report specified reimbursement information for each procedure performed, including Medicare reimbursement on a fee-for-service basis.Existing law, the Knox-Keene Health Care Service Plan Act of 1975, establishes the Department of Managed Health Care and sets forth its powers and duties relating to the licensing and regulation of health care service plans.This bill would make a nonsubstantive change in those provisions.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: NOYES Local Program: NO
Amended IN Assembly March 23, 2018
Amended IN Assembly March 23, 2018
CALIFORNIA LEGISLATURE 20172018 REGULAR SESSION
Assembly Bill No. 3087
Introduced by Assembly Member KalraFebruary 16, 2018
Introduced by Assembly Member Kalra
February 16, 2018
An act to amend Section 1340 of add Section 128741 to the Health and Safety Code, relating to health care service plans. facilities.
LEGISLATIVE COUNSEL'S DIGEST
## LEGISLATIVE COUNSEL'S DIGEST
AB 3087, as amended, Kalra. Health care service plans. facilities: data reporting.
Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services, under which qualified low-income individuals receive health care services. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions.Existing law, the Health Data and Advisory Council Consolidation Act, requires certain health facilities and freestanding ambulatory surgery clinics to file specified reports with various patient and health data information with the Office of Statewide Health Planning and Development. Existing law requires a hospital to report specified summary financial and utilization data to the office within 45 days of the end of a calendar quarter.This bill would require a health facility to report specified reimbursement information for each procedure performed, including Medicare reimbursement on a fee-for-service basis.Existing law, the Knox-Keene Health Care Service Plan Act of 1975, establishes the Department of Managed Health Care and sets forth its powers and duties relating to the licensing and regulation of health care service plans.This bill would make a nonsubstantive change in those provisions.
Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services, under which qualified low-income individuals receive health care services. The Medi-Cal program is, in part, governed and funded by federal Medicaid program provisions.
Existing law, the Health Data and Advisory Council Consolidation Act, requires certain health facilities and freestanding ambulatory surgery clinics to file specified reports with various patient and health data information with the Office of Statewide Health Planning and Development. Existing law requires a hospital to report specified summary financial and utilization data to the office within 45 days of the end of a calendar quarter.
This bill would require a health facility to report specified reimbursement information for each procedure performed, including Medicare reimbursement on a fee-for-service basis.
Existing law, the Knox-Keene Health Care Service Plan Act of 1975, establishes the Department of Managed Health Care and sets forth its powers and duties relating to the licensing and regulation of health care service plans.
This bill would make a nonsubstantive change in those provisions.
## Digest Key
## Bill Text
The people of the State of California do enact as follows:SECTION 1. Section 128741 is added to the Health and Safety Code, to read:128741. A health facility shall report the following information for each procedure performed:(a) Medicare reimbursement on a fee-for-service basis.(b) The average Medicare reimbursement on a Medicare managed care basis, averaged across Medicare managed care plans.(c) The average reimbursement by payers other than Medicare or Medi-Cal.SECTION 1.Section 1340 of the Health and Safety Code is amended to read:1340.This chapter shall be known, and may be cited, as the Knox-Keene Health Care Service Plan Act of 1975.
The people of the State of California do enact as follows:
## The people of the State of California do enact as follows:
SECTION 1. Section 128741 is added to the Health and Safety Code, to read:128741. A health facility shall report the following information for each procedure performed:(a) Medicare reimbursement on a fee-for-service basis.(b) The average Medicare reimbursement on a Medicare managed care basis, averaged across Medicare managed care plans.(c) The average reimbursement by payers other than Medicare or Medi-Cal.
SECTION 1. Section 128741 is added to the Health and Safety Code, to read:
### SECTION 1.
128741. A health facility shall report the following information for each procedure performed:(a) Medicare reimbursement on a fee-for-service basis.(b) The average Medicare reimbursement on a Medicare managed care basis, averaged across Medicare managed care plans.(c) The average reimbursement by payers other than Medicare or Medi-Cal.
128741. A health facility shall report the following information for each procedure performed:(a) Medicare reimbursement on a fee-for-service basis.(b) The average Medicare reimbursement on a Medicare managed care basis, averaged across Medicare managed care plans.(c) The average reimbursement by payers other than Medicare or Medi-Cal.
128741. A health facility shall report the following information for each procedure performed:(a) Medicare reimbursement on a fee-for-service basis.(b) The average Medicare reimbursement on a Medicare managed care basis, averaged across Medicare managed care plans.(c) The average reimbursement by payers other than Medicare or Medi-Cal.
128741. A health facility shall report the following information for each procedure performed:
(a) Medicare reimbursement on a fee-for-service basis.
(b) The average Medicare reimbursement on a Medicare managed care basis, averaged across Medicare managed care plans.
(c) The average reimbursement by payers other than Medicare or Medi-Cal.
This chapter shall be known, and may be cited, as the Knox-Keene Health Care Service Plan Act of 1975.